Perumal Colin, Mohamed Ashraf, Singh Avin
Department of Maxillofacial and Oral Surgery, School of Oral Health Sciences, University of Limpopo, Ga-Rankuwa, South Africa.
Craniomaxillofac Trauma Reconstr. 2012 Mar;5(1):59-64. doi: 10.1055/s-0031-1293519.
The aneurysmal bone cyst (ABC) is a benign cystic and expanding osteolytic lesion consisting of bone-filled spaces of variable size, separated by connective tissue containing trabeculae of bone or osteoid tissue and osteoclast giant cells. Radiographic findings may vary from unicystic or moth-eaten radiolucencies to extensive multilocular lesions with bilateral expansion and destruction of mandibular cortices. Treatment modalities include curettage (with reported recurrences) and resection with immediate reconstruction. The main arterial and feeder vessels may be embolized to prevent profuse intraoperative blood loss and achieve a bloodless surgical field. Failed embolization may necessitate ligation of the external carotid artery of the affected side.
动脉瘤样骨囊肿（ABC）是一种良性囊性、膨胀性溶骨性病变，由大小不一的充满骨质的腔隙组成，这些腔隙被含有骨小梁或类骨质组织以及破骨巨细胞的结缔组织分隔。影像学表现从单房或虫蚀状透亮区到广泛的多房性病变不等，伴有下颌骨皮质的双侧膨胀和破坏。治疗方式包括刮除术（有复发报道）和切除并立即重建。主要动脉和供血血管可进行栓塞，以防止术中大量失血并获得无血手术视野。栓塞失败可能需要结扎患侧颈外动脉。
